The substitution effect of financial and non-financial incentives at different income levels in physician recruitment: evidence from medical students in China

BACKGROUND

Understanding how medical students respond to financial and non-financial incentives is crucial for recruiting health workers and attracting health talents in medical education. However, both incentives are integrated in working practice, and existing theoretical studies have suggested that various income levels may influence the substitution effect of both incentives, while the empirical evidence is lacking. Furthermore, little attention has been paid to the intrinsic motivation. This study aimed to explore the substitution effect of extrinsic incentives at different income levels, also taking intrinsic altruism into account.

METHODS

We used the behavioral data from Zhang et al.'s experiments, which involved discrete choice experiments (DCEs) to assess the job preferences of medical students from six teaching hospitals in Beijing, China. The incentive factors included monthly income, work location, work environment, training and career development opportunities, work load, and professional recognition. Additionally, a lab-like experiment in the medical decision-making context was conducted to quantify altruism based on utility function. Furthermore, we separated the choice sets based on the actual income and distinguished the medical students on altruism. The willingness to pay (WTP) was used to estimate the substitution effect of incentives through conditional logit model.

RESULTS

There was a significant substitution effect between non-financial and financial incentives. As income increased, non-financial incentives such as an excellent work environment, and sufficient career development became relatively more important. The impact of the increase in income on the substitution effect was more pronounced among individuals with higher altruism. Concerning the non-financial incentive work environment, in contrast to the growth of 546 CNY (84 USD) observed in the low-altruism group, the high-altruism group experienced a growth of 1040 CNY (160 USD) in the substitution effect.

CONCLUSIONS

The increase in the income level exerted an influence on the substitution effect of non-financial incentives and financial incentives, especially in high-altruism medical students. Policymakers should attach importance to a favorable environment and promising career prospects on the basis of ensuring a higher income level. Medical school administrations should focus on promoting altruistic values in medical education, enhancing talent incentives and teaching strategies to encourage medical students to devote themselves to the medical professions.

The Longitudinal Associations Between Parental Autonomy Support, Autonomy and Peer Resistance

Adolescents' autonomy is considered to be shaped within family and peer contexts. However, the specific dynamics of the within-person associations between parental autonomy support, adolescents' general autonomy, and peer resistance over time remain unclear. To address this, random-intercept cross-lagged panel models were employed in a sample of 290 Dutch youth in early adolescence (Mage = 11.58, SD = 0.44 at T1; 49.3% boys) and 220 Dutch youth in middle to late adolescence (Mage = 17.79, SD = 1.47 at T1; 25.0% boys), who were followed over two years across four time points. Results showed that changes in adolescents' general autonomy were concurrently associated with changes in their parental autonomy support and peer resistance at the within-person level. However, these associations were not observed longitudinally over a six-month period. These findings suggest that increases in supportive parenting and peer resistance co-occur with increases in adolescents' autonomy within individuals.

How can plant-enriched natural environments benefit human health: a narrative review of relevant theories

Plant-enriched environments, the most common terrestrial landscapes, are usually coded as "green space" in urban studies. To understand how these natural environments can benefit human health, many theories have been developed, such as the well-known Attention Restoration Theory. Nowadays, more theories are emerging with regard to various and complex health dimensions. In this context, we searched online databases (from 2000 to 2022) and conducted a narrative review aiming to introduce relevant theories concerning psychological (e.g. Perceptual Fluency Account and Conditioned Restoration Theory), physiological (e.g. volatile organic compounds and environmental microbiomes), and behavioural (e.g. physical activity and social contact) perspectives. We also slightly mentioned some limitations and directions to be considered when using these theories. These results may offer general readers insights into the value of nature exposure and also help relevant researchers with study design and result interpretation.

"Liberty Can Be for You One Thing, and for Me Something Different": Muslim Women's Experiences of Identity and Belonging in Switzerland

Belonging and identity are fundamental human needs, with positive experiences closely correlated with affirmative mental health. This paper investigates how these concepts are experienced by Muslim women in Switzerland, a minority group targeted in the political campaign nicknamed the "burka ban." There were two research questions: How do Muslim women construct their identity in Switzerland? How do Muslim women experience a sense of belonging in Switzerland? Semi-structured interviews were conducted with six participants, and data was analyzed using thematic analysis. Six themes were identified: religion as a public versus private identity, Islam and dressing modestly as expressions of gendered liberation, sharing a sense of Swiss identity through sameness, challenging dominant representations, impression management, and religious and cultural identity as psychological strengths. Participants used several strategies to construct a positive identity and experience belonging in response to negative representation. Findings are summarized in the form of recommendations for counselors working in Switzerland.

The relationship between exercise motivation and exercise behavior in college students: The chain-mediated role of exercise climate and exercise self-efficacy

Objective

This study explored the relationship between college students’ physical activity motivation and exercise behavior and constructed a chain mediation model through the mediating roles of exercise climate and exercise self-efficacy.

Methods

By random sampling, 1,032 college students were investigated using the Exercise Motivation Scale, Physical Exercise Rating Scale, Exercise Climate Scale, and Exercise Self-Efficacy Scale.

Results

(1) There was a huge positive correlation between exercise motivation and exercise behavior (r = 0.240, p < 0.01), and the immediate ways of linking exercise motivation to exercise behavior were critical (β = 0.068, t = 0.040, p < 0.01). (2) Exercise motivation could positively predict exercise climate (β = 0.373, t = 0.061, p < 0.01) and exercise self-efficacy (β = 0.174, t = 0.039, p < 0.01), and exercise climate could emphatically foresee exercise behavior (β = 0.302, t = 0.051, p < 0.01). Exercise self-efficacy could foresee exercise behavior decidedly (β = 0.190, t = 0.048, p < 0.01). (3) Exercise climate and exercise self-efficacy play a critical intervening role between exercise motivation and exercise behavior. The intercession impact is explicitly made out of aberrant impacts created in three ways: exercise motivation → exercise climate → exercise behavior (mediating effect value: 0.113); exercise motivation → exercise self-efficacy → exercise behavior (mediating effect value: 0.033); exercise motivation → exercise climate → exercise self-efficacy → exercise behavior (mediating effect value: 0.027).

Conclusion

(1) Exercise climate, exercise self-efficacy, and exercise behavior can all be significantly predicted by exercise motivation, suggesting that exercise motivation may help to enhance these variables. (2) In addition to having a direct impact on exercise behavior, exercise motivation can also have an indirect impact through the separate mediating effects of exercise climate and exercise self-efficacy as well as the chain mediating effect of exercise climate and exercise self-efficacy, which is crucial for encouraging college students to engage in physical activity.

Beyond "bluespace" and "greenspace": A narrative review of possible health benefits from exposure to other natural landscapes

Numerous studies have highlighted the physical and mental health benefits of contact with nature, typically in landscapes characterized by plants (i.e., "greenspace") and water (i.e., "bluespace"). However, natural landscapes are not always green or blue, and the effects of other landscapes are worth attention. This narrative review attempts to overcome this limitation of past research. Rather than focusing on colors, we propose that natural landscapes are composed of at least one of three components: (1) plants (e.g., trees, flowering plants, grasses, sedges, mosses, ferns, and algae), (2) water (e.g., rivers, canals, lakes, and oceans), and/or (3) rocks and minerals, including soil. Landscapes not dominated by plants or liquid-state water include those with abundant solid-state water (e.g., polar spaces) and rocks or minerals (e.g., deserts and caves). Possible health benefits of solid-state water or rock/mineral dominated landscapes include both shorter-term (e.g., viewing images) and longer-term (e.g., living in these landscapes) exposure durations. Reported benefits span improved emotional and mental states and medical treatment resources for respiratory conditions and allergies. Mechanisms underlying the health benefits of exposure consist of commonly discussed theories in the "greenspace" and "bluespace" literature (i.e., instoration and restoration) as well as less discussed pathways in that literature (i.e., post-traumatic growth, self-determination, supportive environment theory, and place attachment). This is the first review to draw attention to the potential salutogenic value of natural landscapes beyond "greenspace" and "bluespace." It is also among the first to highlight the limitations and confusion that result from classifying natural landscapes using color. Since the extant literature on natural landscapes - beyond those with abundant plants or liquid-state water - is limited in regard to quantity and quality, additional research is needed to understand their restorative potential and therapeutic possibilities.

The moderating effect of marital conflict on the relationship between social avoidance and socio-emotional functioning among young children in suburban China

Social avoidance has been found to be related to negative social adjustment, yet evidence of the relationship between social avoidance and social adjustment is very limited in suburban preschoolers in China. Moreover, the underlying mechanisms that help to explain the associations between social avoidance and socio-emotional adjustment remain poorly considered. The goal of the present study was to examine the moderating effect of marital conflict in the link between social avoidance and indices of socio-emotional functioning among young children in mainland China. Participants were N = 256 children aged from 49 to 72 months (125 boys, 131 girls, M_age  = 59.06 months, SD = 6.58) attending preschools/kindergartens in suburban areas of Shanghai, People's Republic of China. Multi-source assessments were employed, with mothers reporting marital conflict as well as rating their children's social withdrawal (i.e., social avoidance, shyness, unsociability), and teachers assessing indices of children's socio-emotional functioning at school (i.e., anxious-fearful behavior, peer exclusion, and loneliness). Children were asked about their loneliness. Among the results, social avoidance was positively associated with anxious-fearful behavior, peer exclusion, and loneliness (marginal significance). Moreover, as hypothesized, marital conflict was found to exacerbate the relations between social avoidance and peer exclusion, and loneliness. Results are discussed in terms of the etiology and implications of social avoidance among young children in mainland China.

Measuring Perceived Research Competence of Junior Researchers

Graduates of doctoral (Ph.D.) programs are expected to be competent at designing and conducting research independently. Given the level of research competence needed to successfully conduct research, it is important that assessors of doctoral programs (e.g., faculty and staff) have a reliable and validated tool for measuring and tracking perceived research competence among their students and graduates. A high level of research competence is expected for all Ph.D. graduates worldwide, in addition to in all disciplines/fields. Moreover, graduates of Ph.D. programs may complete their studies in one country but then obtain a research position in another country, emphasizing the need to ensure that all doctoral programs are fostering similar levels of research competence. Thus, the purpose of this study was to gather additional evidence for validity and reliability of the Research Competence (R-Comp) scale. Specifically, we sought to extend the findings of by adapting the scale, translating it to other languages, and applying the tool with a sample of early stage researchers. Our findings provide initial evidence that the adapted PR-Comp is appropriate for use in three languages and across a variety of disciplines/programs of study.

The Mediating Effect of Dispositional Gratitude on the Relationship between Religious Struggles and Self-Esteem: Preliminary Results

In comforting or distressing circumstances, individuals tend to have various perceptions of themselves. It seems that religious comfort and religious distress correlate differently with people’s self-esteem. Since the relationship between religiosity and self-esteem is not only direct but can be mediated by other factors that are recognized as buffers against adverse situations, our main goal was to verify whether dispositional gratitude may have an indirect effect on the association between both variables. The research involved data from 254 participants aged 18 to 25 (M = 21.24; SD = 2.09) and included 192 women (76%) and 62 men (24%). To measure the title variables, we used: the Religious Comfort and Strain Scale (RCSS), the Rosenberg Self-Esteem Scale (RSES), and the Gratitude Questionnaire (GQ-6). The results showed that people who consider religion as a source of comfort express positive attitudes toward the self and recognize others’ kindness, as well. In contrast, people who consider religiosity as a cause of fear, stress, and internal strain tend to display a lower subjective sense of personal worth and lower appreciation of the positivity around them. Moreover, gratitude had a mediatory effect on the relationships between religious comfort/negative emotions toward God and self-esteem.

Women’s Safety Concerns and Academia: How Safety Concerns Can Create Opportunity Gaps

The present work documents the safety concerns of men and women in academia and how these concerns can create opportunity gaps. Across five samples including undergraduate and graduate students, postdoctoral fellows, and faculty ( N = 1,812), women reported greater concerns about their safety than did men, and these concerns were associated with reduced work hours in libraries, offices, and/or labs afterhours. Additionally, although we were unable to manipulate safety concerns among women, in an experiment with men ( N = 117), increasing safety concerns decreased willingness to use the library afterhours. Finally, in an archival study of swipe access data ( N = 350,364 swipes), a crime event that made safety concerns salient for women was associated with a decreased likelihood that women worked in their office afterhours and a decreased likelihood that science, technology, engineering, and mathematics women worked in their labs later at night. Collectively, these data suggest that women’s safety concerns can restrict their work.

Broadcasters' Leadership Traits and Audiences' Loyalty With the Moderating Role of Self-Construal: An Exploratory Study

Although considerable attention has been paid to the application of leadership in virtual communities, the field of live streaming has not been involved. This exploratory study aimed to explore how different broadcaster leadership traits (charismatic, authoritarian, and servant) influence audiences' loyalty (cognitive and conative). And audience self-construal was chosen as a key moderator. The top 15 broadcasters from the regional rankings were selected from each of the two popular live streaming platforms, Douyu and YouTube, for the study. And we used snowball sampling with a link to an online questionnaire as a recruitment procedure. 310 audiences with live streaming experience from the Chinese Mainland and Taiwan participated. Hierarchical linear modeling was adopted for the analysis. This study found that broadcasters with servant and charismatic leadership traits positively affected cognitive loyalty. Broadcasters with servant leadership traits also had a positive effect on conative loyalty. Additionally, independent self-construal negatively moderated the relationship between servant leadership and cognitive loyalty. Independent self-construal positively moderated the relationship between authoritarian leadership and conative loyalty. Furthermore, interdependent self-construal negatively moderated the relationship between charismatic leadership and conative loyalty. Interdependent self-construal positively moderated the relationship between authoritarian leadership and conative loyalty. These conclusions extend the understanding of broadcasters' traits and audiences' psychology concerning the booming phenomenon of live streaming and can help platform managers motivate audiences' loyalty on these platforms.

The Influence of Offline and Online Intrinsic Motivations on Online Health Information Seeking

We examine how intrinsic motivations in two health interaction contexts - online and doctor's office visit - influence online health information seeking (OHIS). Many studies have approached OHIS through short-term gratification of informational needs. Our study uses a conceptual framework of intrinsic human motivation to better understand OHIS as a form of sustained behavior. We applied Self Determination Theory's three key constructs (Autonomy, Competence, and Relatedness) within a locus of patient-physician relations. Our findings, based on a survey of 993 online health information seekers in India, show that support for Autonomy in the online context explains all three categories of OHIS behaviors: Diagnosis and Treatment Information Seeking, General Health Information Seeking, and Office Visit Information Seeking. Support for Relatedness in the online context explains only Office Visit Information Seeking. However, support for Autonomy, Competence, and Relatedness in the office visit experience could not explain why people engage in OHIS overall. Motivations for the office visit are not associated with the online experience, suggesting that online and offline are not just two kinds of substitute health interaction contexts.

A Needs Driven Model of Workplace Social Effectiveness in Adults With Disabilities

Social effectiveness is central to workplace success. Yet, surprisingly little is known about the factors that influence effectiveness in managing the social requirements of the workplace. This study provides a preliminary analysis of a model of workplace social effectiveness for adults with disabilities. A total of 330 adults with disabilities participated in an online, cross-sectional research study. Researchers used several measures to assess the extent to which latent variables representing communal and positive approaches to social situations influenced workplace social effectiveness and whether that relationship was mediated by the ability to connect with others. Results from a structural equation model analysis suggest that both a communal and positive social approach predict workplace social effectiveness. The ability to connect with others partially mediated relationships between both communal and positive approaches and workplace social effectiveness. Although the cross-sectional and self-report nature of this study limits the conclusions that can be drawn, the findings lay a groundwork for further model testing and clinical interventions in rehabilitation counseling services. The results offer an alternative socioemotional approach for identifying and intervening on workplace social effectiveness that can be applied to adults with disabilities.

Associations Among Psychologically Controlling Parenting, Autonomy, Relatedness, and Problem Behaviors During Emerging Adulthood

The present study aimed to investigate the relations among perceived parental psychological control (PPC), autonomy and relatedness, and negative outcomes during emerging adulthood in two cultural contexts: Italy and the USA. More specifically, we explored the mechanisms through which dependency-oriented PPC (DPPC) and achievement-oriented PPC (APPC) are associated with both internalizing and externalizing difficulties, focusing on the mediating role of autonomy and relatedness. Participants were 418 European-American and 359 Italian college students. Results indicated that the expressions of PPC with regard to dependency and achievement were related to emerging adults' negative outcomes through different pathways, and these effects were moderated by the cultural group. The implications of the findings for future related empirical investigations and clinical interventions were discussed.

Quality of Life and Self-Determination: Youth with Chronic Health Conditions Make the Connection

While optimizing quality of life (QOL) is a key goal of rehabilitation care, no previous study has reported on what 'QOL' means to youth with chronic health conditions. In addition, no qualitative studies have explored the relationship between QOL and self-determination (SD). Objectives of this qualitative study were to examine: what the terms 'quality of life' and 'self-determination' mean to youth with chronic conditions; the factors these youth think are linked with these concepts; the relationship they see between concepts, the types of future goals youth have and how they view the connection between their SD and these goals. A descriptive methodology was used. A purposive sample of 15 youth aged 15 to 20 years was obtained. Youth had cerebral palsy, a central nervous system disorder, or autism spectrum disorder. Semi-structured interviews were conducted first, followed by a focus group. Line-by-line coding of transcripts was completed, codes were collapsed into categories, and themes identified. Participants viewed QOL as an overarching personal evaluation of their life, and used terms such as satisfaction and happiness to describe the concept. Factors related to QOL included: 'relationships', 'supportive environments', 'doing things', 'personal growth and moving forward', and 'understanding of self/acceptance of disability'. Participants described SD in such terms as confidence and motivation. Contributors to SD were: 'personal strengths', 'interdependence', and 'functional independence'. SD was considered important to QOL. Youth goals were reflective of the goals of most adolescents. They identified the importance of having key goals that were of personal interest to them. This study adds consumer-based information to the debate over the meaning of QOL. Service providers and decision makers should be aware of the factors that youth feel impact their QOL and SD, the importance of SD to youth QOL, and of SD to future goals, and consider this information when tailoring therapeutic interventions.

The Influence of Social Capital on Starting Wage for People With and Without Disabilities

Disability is associated with low employment rates and earnings. The gap in earnings between people with and without disabilities continues among those who exit vocational rehabilitation (VR) services with an employment outcome. Hypothetical hiring scenarios were presented to undergraduate business students, and the potential influence of social capital on starting wage was examined for both persons with and without disabilities. Results suggest that both direct and indirect social capital have a positive influence on starting wage. Scenarios depicting high levels of social capital resulted in an increase in hourly wage of over US$1,500.00 more per year for a direct relationship and over US$800.00 more per year for an indirect relationship. Social capital, along with human capital, is an important factor in starting wage decisions. A comparison between human and social capital suggests important differences in (a) where the capital is located, (b) potential for indirect use, and (c) resources for investment. Implications for provision of VR services include increased use of a customized, strength-based approach for development and use of social capital for both consumers and counselors.

Examining Social Class and Work Meaning Within the Psychology of Working Framework

In this article, we used the psychology of working framework to examine how social class relates to the experience of meaningful work with two samples of working adults. In Study 1, participants in higher social classes were more likely to experience work meaning than people in lower social classes. Regardless of class, participants reported serving others or contributing to the greater good as the primary source of their work’s meaning. In Study 2, we used a latent, multiple mediator model to test whether the three components of work volition mediated the relation between social class and work meaning. The model was a good fit to the data and partially supported our hypotheses. Specifically, volition and financial constraints fully mediated the relation between social class and work meaning, suggesting that social class may be linked to work meaning due to increased volition and decreased financial constraints.

The needs of AIDS-infected individuals in rural China

The purpose of this exploratory case study was to describe the needs and present the voices of 21 AIDS-infected individuals who contracted the disease through the selling of blood in rural China. Data sources included interviews, field notes, and letters. Three themes emerged: living in a vicious circle, awakening from the dead end, and escaping the vicious circle through education. Education emerged as an overarching theme and was identified as the catalyst that would either keep the families of those affected trapped in the vicious circle or rescue them from it. Findings are explained within the theoretical contexts of social capital, motivation theory, and Confucius's philosophy on education. The authors discuss implications for researchers, educators, relief workers, human service workers, policy makers, and human rights advocates. They conclude with suggestions for further study.

Should CBT Target the Social Impairments Associated With Schizophrenia?

Adjunctive cognitive behavior therapy (CBT) has been found to reduce the impact of symptoms among individuals with schizophrenia; however, CBT has not been used to address the social deficits in this clinical population. The current article elaborates the rationale for targeting social functioning with CBT. These reasons include the following: (a) Social dysfunction is a core feature of schizophrenia that is not directly improved with medication; (b) Improved social functioning is a treatment goal of many patients with schizophrenia, and thus treatments designed to improve social functioning may increase treatment motivation and reduce attrition; (c) Adaptive social functioning is a critical component of mental and physical health; and (d) Social dysfunction appears to be responsive to psychosocial intervention. This article concludes with a description of functional cognitive behavior therapy (FCBT), a CBT intervention that has been developed with enhanced focus on social impairments.

From adaptive emotion to dysfunction: an attachment perspective on social anxiety disorder

In this article, existing theories of social anxiety are integrated within the framework of attachment theory, in particular, by means of the causal mechanism of internal working models of self and others. These models guide beliefs and expectations about social relationships and, thereby, contribute to social anxiety. They also contain procedural knowledge about the skills needed to initiate and maintain social relationships. A reconceptualization of social skill as the ability to regulate others' emotions and, thereby, their behavior is presented. It is suggested that deficits (real or imagined) in the ability to affect others' emotional states, and, thereby, achieve interpersonal goals, contribute to social anxiety. The integrated model is evaluated by a number of theory-goodness criteria, and directions for future research are discussed.